A community-led, harm-reduction approach to chemsex: case study from Australia’s largest gay city
Zahra Stardust A B , Johann Kolstee A , Stefan Joksic A , James Gray A and Siobhan Hannan AA ACON Health, 414 Elizabeth St, Surry Hills 2010, NSW, Australia.
B Corresponding author. Email: zstardust@acon.org.au
Sexual Health 15(2) 179-181 https://doi.org/10.1071/SH17145
Submitted: 14 August 2017 Accepted: 15 January 2018 Published: 29 March 2018
Abstract
Rates of drug use remain substantially higher among gay and bisexual men (GBM) and people living with HIV (PLHIV) in Sydney, New South Wales, Australia. The use of drugs to enhance sexual pleasure within cultures of Party and Play creates opportunities to discuss sexual health, mental health, consent and wellbeing. Community organisations with a history of HIV prevention, care, treatment are well-placed to respond. ACON’s (formerly the AIDS Council of New South Wales) multi-dimensional response to ‘chemsex’ includes: direct client services support for individuals seeking to manage or reduce their use; health promotion activities that support peer education; partnerships with research institutions to better understand cultures of chemsex; and policy submissions that call for drug use to be approached as a health, rather than a criminal, issue. The approach speaks the language of Party and Play subcultures; employs culturally relevant terminology and imagery; uses content designed, created and delivered by peers; and operates within a pleasure-positive, harm-reduction and community-led framework. These interventions have led to increased service uptake, strong community engagement, robust research partnerships and the recognition of GBM as a priority population in relevant strategies.
Additional keywords: community intervention, drug use, gay men, health promotion, sexual practices.
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